CASE REPORT
A Case Report: In-hospital acute
papillary muscle rupture in SARS-COV 2 positive patient late after acute
inferior myocardial infarction
Tarique S. chachar MD*1, Vinayak Vadgaonkar
MD1, Zaied Arekat FRSCSC1, Fuad
AbdulQader1, Seham A. Saif ABIM,
SBIM**1
*First Author
**Corresponding Author
1 Affiliation – MOHAMMED BIN KHALIFA BIN SALMAN ALKHALIFA CARDIAC
CENTER- KINGDOM OF BAHRAIN
Abstract
Papillary muscle rupture is one of the rare and potentially
life-threatening
complication usually following acute myocardial infarction (AMI). Acute
papillary muscle rupture (PMR) results in severe mitral regurgitation
rapidly progressing to florid pulmonary edema and cardiogenic shock.
Without emergent surgical intervention, the mortality is extremely high.
The management of STEMI patients in COVID 19 pandemic is difficult and
challenging. We present an unusual case of 56 years old male who
presented with acute inferior wall myocardial infarction (IWMI),
underwent successful thrombolysis, developed reinfarction 5 days later
complicated by acute postero-medial papillary muscle rupture (PPMR)
leading to severe acute mitral regurgitation.